Concepts for Proposed Changes to the CNA training and certification regulations include:

• Definitions
• Amend outdated definitions
• Adopt new definitions as needed to improve clarity
• Qualifications for Certification
• Incorporate provisions of initial application form (CDPH 283B)
• Update minimum qualifications for certification
• Adopt minimum passing score for competency examination
• Issuance of Certificates
• Clarify information the training program must include when notifying L&C of students who have met all qualifications for certification
• Renewal of Certificates
• Incorporate provisions of renewal application form (CDPH 283C)
• Clarify procedures for renewing active or expired certificate
• Change of Employer, Name, or Address; Requests for Duplicate Certificates
• Adopt requirements for notifying L&C of changes of employer
• Incorporate provisions of Request for Name/Address Change and/or Duplicate for CNA Certificate form (CDPH 929)
• Request for Credit
• Clarify process for requesting credit for portions of other CNA training programs completed within previous two (2) years
• Administrative Policies and Procedures
• Update required training program policies
• Director of Staff Development (DSD) and Instructor
• Incorporate provisions of DSD and Instructor application (CDPH 279)
• Amend minimum qualifications for DSDs and Instructors
• Registered Nurse (RN) Program Director
• Adopt application requirements
• Adopt minimum qualifications for RN Program Director
• Program Flexibility
• Amend existing regulation with non-substantive changes for clarity
• Training Program Providers and Application Requirements
• Define entities that may provide CNA or HHA certification training programs
• Adopt required components of application package for training program approval
• Adopt procedures for denial of incomplete or insufficient training program applications
• Certification Training Program Required Components
• Distribute 10 additional hours of classroom training added by A.B. 1731 in 2000 among required modules
• Adopt specific clinical skills to be taught and evaluated in each module
• Supervised Clinical Training
• Adopt requirements for clinical site agreements
• Adopt standards for supervised clinical training
• Orientation Program ​
• Update application and approval process for orientation program plans (CDPH 278A)
• Competency Examination
• Adopt standards for competency examinations administered and evaluated by approved testing vendors
• Reciprocity and Equivalency
• Adopt formal process for nurse assistants certified in another state to apply for reciprocity to transfer certificate to California (CDPH 931)
• Adopt formal process for individuals in other health care professions to apply for equivalency, which allows applicants to use prior experience and coursework to satisfy classroom and clinical training requirements
• Renewal of Training Program Approval
• Adopt procedures for renewing training program approval
• Fees and Penalties
• Repeal fees for the issuance and renewal of certificates, replacement of certificates, and penalties for late filings of renewals
• Continuing Education and In-Service
• Update standards for content of continuing education and in-service training and minimum qualifications of providers
• Incorporate provisions of applications for approval as a continuing education or in-service training provider (CDPH 192, CDPH 192B, CDPH 278B)
• Adopt approval process for non-nursing facility employers of CNAs that want to provide in-service training.
• Training Program Noncompliance; Withdrawal and Reinstatement of Approval
• Adopt procedures for discipline of noncompliant training programs

Concepts for Proposed Changes to the HHA training and certification regulations include:

• Qualifications for Certification

• Incorporate provisions of initial application form (CDPH 283B)

• Update minimum qualifications for certification

• Adopt minimum passing score for competency examination administered by training program

• Issuance of Certificates

• Clarify information that training program must include when notifying L&C of students who have met all qualifications for certification

• Renewal of Certificates

• Incorporate provisions of renewal application form (CDPH 283C)

• Clarify procedures for renewing active or expired certificate

• Change of Employer, Name, or Address; Requests for Duplicate Certificates

• Adopt requirements for notifying L&C of changes of employer

• Incorporate provisions of Request for Name/Address Change and/or Duplicate for HHA Certificate form (CDPH 929)

• Administrative Policies and Procedures

• Adopt required training program policies

• Training Program Owner and Administrator

• Define "training program owner" and "training program administrator"

• Registered Nurse Program Director

• Adopt application requirements

• Adopt minimum qualifications

• Registered Nurse Instructor

• Adopt minimum qualifications for Instructors

• Supervised Clinical Training

• Adopt requirements for clinical site agreements

• Adopt standards for clinical training

• Program Flexibility

• Adopt procedures for submitting program flexibility requests

• Training Program Application Requirements

• Adopt option to provide 40-hour abbreviated HHA training program for those seeking dual certification

• Adopt required components of application package for both 120-hour training program and 40-hour training program approval

• Adopt procedures for denial of incomplete or insufficient training program applications

• Certification Training Program Required Components

• Amend curriculum to include more detailed modules

• Separate classroom hours from clinical training hours

• Adopt required curriculum for 40-hour training program based on 40-Hour Model Curriculum for HHAs, as developed by the California Community College Chancellor’s Office

• Competency Examination

• Adopt standards for required competency examination administered and evaluated by the HHA training program

• Renewal of Training Program Approval

• Adopt procedures for renewing training program approval

• Continuing Education and In-Service

• Adopt minimum hours of continuing education or in-service for renewal of HHA certificate

• Adopt standards for content of continuing education and in-service training and minimum qualifications of providers

• Adopt required components of application package for approval of continuing education or in-service training provider

• Training Program Noncompliance; Withdrawal and Reinstatement of Approval

• Adopt procedures for discipline of noncompliant training programs ​​